US Virtual - Enrollment/Billing Representative (Healthcare)

Job Title: Enrollment/Billing Representative –  Healthcare

Location: Remote 

About Us: 

We are a leading specialty pharmacy committed to supporting patients with complex and chronic health conditions. Our mission is to elevate patient care through innovative solutions and compassionate service. Join us in making a meaningful impact - delivering world-class in a dynamic, remote environment

Role Overview: 

As an Enrollment/Billing Representative, you’ll play a key role in reducing accounts receivable by following standard procedures to edit, bill, and collect payment on basic claims. This role requires foundational knowledge of billing and collections, with general supervision or routine tasks

What You’ll Do: 

• Prepares and reviews claims for billing accuracy.

• Edit and submit claims following standard operating procedures.

• Follow up on outstanding accounts and pursue collections from payers and patients

• Escalates complex or delinquent claims to the Senior Specialist for appropriate action.

• Audit accounts for compliance and accuracy.

• Support banking functions, including account setup, reconciliation, and payment processing

What We’re Looking For: 

• Education: High school diploma or equivalent required. 

• Experience: 2+ years in billing, collections, or call center environments preferred

• Technical Skills: Proficiency in Microsoft Office Suite; ability to navigate and manage multiple systems simultaneously. 

• Communication: Exceptional verbal and written communication skills; ability to convey information with clarity and empathy. 

• Soft Skills: 

  • Strong attention to detail with excellent organizational and accuracy skills 

  • High level of integrity in handling confidential information 

  • Ability to manage multiple priorities, deadlines, and a high-volume workload 

  • Self-starter and collaborative team player with a strong focus on quality and service 

  • Skilled in managing complex billing inquiries 

  • Familiarity with Co-Pay Assistance programs (an asset) 

  • Strong negotiation and problem-solving skills 

  • Resilient and adaptable, able to maintain a positive attitude and professionalism when transitioning from challenging calls 

  Work Environment: 

  • Reliable internet connectivity and a dedicated, distraction-free workspace. 

  • Availability to work within the Contact Center operating hours 

• Commitment: Strong commitment to attendance and schedule adherence 

  • Training: 100% participation required 

  • First 90 Days: 100% attendance during the initial production period 

Why Join Us? 

• Purpose-Driven Work: Help transform healthcare and improve patient outcomes  . 

• Career Growth: Access training, mentorship, and advancement opportunities to grow your career within a supportive organization. 

• Comprehensive Benefits: Enjoy competitive pay, robust benefits, and wellness programs tailored to support you and your family. 

• Inclusive Culture: Thrive in a diverse, collaborative, and inclusive work environment where your contributions are valued. 

• Work-from-Home Convenience: Save time and money while reducing your footprint. 

Success Factors for Working from Home

To thrive in this remote role, you’ll need:

Compensation & Perks

What Success Looks Like: 

Success in this role means consistently delivering exceptional customer service, meeting performance goals, and living our values of empathy, integrity, and excellence. Your work will directly support patients in managing their health and well-being. 

Ready to Make an Impact? 

Join a team dedicated to compassionate care and innovative solutions. Take the first step toward a rewarding career in healthcare—apply now!